By Scott Rae
Biola Magazine
This January marks the 40th anniversary of Roe v. Wade, one of the most
polarizing rulings in U.S. Supreme Court history. Handed down on Jan.
22, 1973, the 7-2 decision effectively made abortion legal across the
United States, deeming it to be a private decision protected under the
constitutional right to due process. In the four decades since the
ruling, an estimated 55 million abortions have been performed
nationwide, all while the fight over the legality and morality of
abortion has continued to rage on.
Biola Magazine recently sat down with professor Scott Rae to discuss
the impact of the ruling, the ethics of abortion and the biblical
perspective on life. Rae has served as an ethics consultant for several
hospitals over the past two decades and has written extensively on
beginning-of-life issues and bioethics, including in his books Moral Choices and Outside the Womb: Moral Guidance for Assisted Reproduction.
Scott, Jan. 22 marks the 40th anniversary of the roe v. Wade ruling. What made this case so significant?
Actually, it was Roe v. Wade in conjunction with its companion case,
Doe v. Bolton, that together essentially legalized abortion on demand at
any point in pregnancy. Roe v. Wade divided pregnancy into three
trimesters, somewhat arbitrarily, because nine is divisible by three. In
the first trimester, it basically said abortion on demand is no
problem. In the second trimester, it said the state could put some
restrictions on the practice for the sake of safety for women. In the
third trimester, they argued that the state has a compelling interest in
the protection of life unless the mother’s life or health is
threatened.
The
Doe v. Bolton decision clarified what is meant by the threat to the
mother’s health, and so broadened it that virtually anything qualifies,
whether it is a threat to her physical, emotional, psychological or
familial health — to be decided only by her and her physician.
Essentially, it opened the door to abortion on demand for all nine
months of pregnancy. People tend to include both of these cases under
the same umbrella, but the impact of the Doe decision was just as great,
if not more so.
How would you describe the long-term cultural impact of these rulings over the past four decades?
Well, the law has a significant educational value. And this one, no
doubt, has brought more acceptability to the idea of abortion. At the
time, the argument was that if abortion was not legalized, it would just
take place in back alleys with unqualified people. But that was a red
herring. The reality is that not much of that happened prior to 1973.
So, the educational value of the law has been really substantial in
making abortion more acceptable. In the last 10 years, it’s been
countered by the educational value of technology — with the resolution
and the sophistication of ultrasound. It’s becoming harder for the
average person to look at an ultrasound and say, “It’s just a clump of
cells” or “It’s just a blob of tissue.”
Abortion has had an impact on how we view the end of life, too. It came
full circle in the late ’90s, when the Supreme Court heard two
different challenges to laws prohibiting assisted suicide. The
challengers basically made the autonomy argument from abortion — “my
body, my choice” — and applied that to assisted suicide. Thankfully, the
Supreme Court rejected that analogy. But that analogy — that the
beginning of life and the end of life are both subject to the same sort
of autonomy argument — was affirmed by three different appeals courts
before the Supreme Court struck it down.
Biola’s official doctrinal position is that life begins at conception. What’s the biblical basis for this?
The clearest biblical texts tell us that the unborn child growing in
the womb is the object of God’s creative, initiative, loving, caring
handiwork. Abortion stops the handiwork of God in the womb. The parts of
Scripture that speak to this are the passages that basically treat
birth and conception interchangeably — a poetic synonymous parallel.
(For example, Job 3:3, Jeremiah 1:5, Isaiah 49:1, Psalm 51:5 and Psalm 139:13-16.)
And the account of the Incarnation speaks to the fact that you have an
image-of-God-bearing person from the very, very earliest points of
pregnancy — well before most women are even aware that they’re pregnant.
Beyond the biblical case, what philosophical case can be made that personhood begins at conception?
One is our common-sense idea of who we are as a person. We see
ourselves as what philosophers call a substance, which is an entity with
an immaterial essence that defines and governs its physical
development. A person is a substance. And the way we view things like
moral responsibility and criminal justice strongly suggest that we view a
person as having a continuity of identity all the way through life. If
that’s true, then obviously that continuity starts at conception.
There’s really no place along that continuum from conception until birth
that you have any non-ad hoc way of drawing any lines.
Some people would say that you are a person when you’re able to perform
a certain set of baseline functions like self-awareness or
self-consciousness. But if that’s the standard, then it doesn’t make any
sense that we would view people in reversible comas or under general
anesthesia as persons, which we obviously do. A person is something you
are, not something you do. If being a person is something that you do,
then it’s by definition degreed, which means it’s a more-or-less
category, not an all-or-nothing category.
How would you convince someone who argues that personhood
begins at some other point — such as implantation, or when there is a
heartbeat or brain activity, or when the baby is viable to live outside
the womb?
With each of those points, there is no morally relevant difference
between the day before that point and the day after that point. Birth is
just a change of location. So is implantation. The rest of those really
have nothing to do with the essence of the person.
What I’ve found most effective in convincing people about the
personhood of the unborn, though, is (1) somebody who cares about the
woman giving her support and advice, and (2) something that gives visual
effect to her intuitions. Hearing the heartbeat or seeing the
ultrasound makes it a lot tougher to say this is just a piece of tissue,
sort of like my liver. If we could get most women with unwanted
pregnancies to just visit the doctor once, the instances of abortion
would go down dramatically.
If personhood begins at conception, is there any circumstance under which abortion is morally acceptable?
I would say that it’s only acceptable when the life of the mother is at
stake. In most cases — not all — if you lose the mother, you’re going
to lose the baby also. And so it’s appropriate in those cases to treat
the mother and let the chips fall where they will with the baby. If she
has an aggressive form of cervical cancer, for example, you do the
chemo, pray hard, hope for the best, but let the chips fall where they
will. I don’t see anything wrong with that, because if the mother dies,
the baby is going to die.
Some people accept the position that life begins at conception,
but say they are not willing to impose that view on others through the
political process. is that a valid distinction?
When fundamental human rights are involved, I don’t think that
distinction holds. It’s almost like saying, “If you don’t like slavery,
don’t own slaves.” Or “I don’t believe slavery is right, but I’m not
going to impose my views on other people.” The reason we impose those
views is because fundamental civil rights are at stake, which I think is
true here.
The question of when personhood begins doesn’t just affect the
abortion debate. it’s also central to the area of embryonic stem cell
research and reproductive technologies. in your writings about
reproductive technology, you’ve expressed significant ethical concerns
about in vitro fertilization (IVF). in your view, what should couples
know before considering IVF?
Two things: With IVF, there is a risk of embryos being left over.
Unless IVF is a total failure, the likelihood is high that you’ll have
embryos left over, frozen in the lab. I would argue that whether they
are in the lab or in the body is irrelevant — it’s just a difference of
location, and it’s irrelevant to their status. The other thing that you
have to be aware of is that the process can be too successful, and you
can end up with major multiples. You can end up with a litter of
children in the womb. So that runs the risk of selective abortion.
Both of those — throwing away embryos and selectively aborting fetuses —
are morally the same thing. So I would tell the couple: First, don’t
implant more embryos than you can safely carry. Second, commit that
every embryo you create in a lab gets to be implanted— preferably with
you, but putting them up for adoption is also an appropriate thing to
do. Couples who adopt these embryos get the benefit of adopting, but
they also get the experience of pregnancy and childbirth, which is very
important to lots of women.
To many, being “pro-life” tends to be synonymous with voting a
certain way. But beyond advocating for political changes, how can
churches be more active in caring for the cause of the unborn?
One is to acknowledge Sanctity of Human Life Sunday. [This year it’s
Jan. 20, 2013.] Acknowledge and recognize that there are women in our
churches who have had abortions, which for them can be very painful, but
it’s also part of being healing and redemptive. If it’s not too
painful, have a woman who has had an abortion tell her story. Or a woman
who was tempted to go down that road and decided not to. That’s just as
powerful — especially if she’s standing there holding the hand of her
6-year-old daughter.
Second, pastors should talk about this every once in a while. You could
go to a lot of churches for a long time and never know that there’s
anything morally problematic about abortion. It’s not that you have to
preach on the specific subject of abortion — but there are regular
topics where it can be mentioned. Plant seeds when you can.
Third, have a crisis pregnancy center in your phone where you can refer
women with unwanted pregnancies. Better yet would be to have a handful
of women who could serve as counselors and support for women with
unwanted pregnancies. That’s a start.